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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A
2018 National Healthcare Quality and Disparities Report | A.2-1
APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES
A.2. Quality Trends
Measures included in Figure 33: Number and percentage of all quality measures that were improving,…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/7ZSKduUYHWKe7q_tTY9xbF
April 01, 2013 - Endometrial cancer and venous thromboembolism in women under age 50 who
take tamoxifen for prevention
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety ( PDF , 134 KB )
Brenda
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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - Infections
$21,000
.028
Ventilator-Associated Pneumonia
$21,000
.144
Postoperative Venous … Thromboembolism
$8,000
.104
These cost and mortality estimates per HAC were developed in
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - You could do a technically beautiful operation, but if you did not give them optimal VTE [venous thromboembolism
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - He knew he should assess the patient for her venous thromboembolism (VTE) risk, but he didn’t have much … The hospital didn’t have a standardized protocol for VTE risk assessment. … Simon asked Susan if anyone in her family had a history of VTE. … Susan wasn’t sure what VTE was, so she said “no” and Simon didn’t press further. … challenge the surgeon's authority and lacking clear protocols for post-surgical complications like VTE
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - Computerized physician order entry with medication error detection
Example: Use of prophylaxis for venous … thromboembolism in appropriate patients
Example: Postoperative deep vein thrombosis or pulmonary embolism
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Evaluation of the SCaling AcceptabLE cDs (SCALED) Approach of Interoperable Clinical Decision Support for Venous … Thromboembolism Prevention
A methodology for scaling patient-centered outcomes research into interoperable
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Over time, they will add the device/
health information technology, perinatal, and venous
thromboembolism
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015234-thomas-final-report-2008.pdf
January 01, 2008 - associated pneumonia; CRBSI – catheter-related blood stream infection; ARF –
acute renal failure; VTE
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - adverse events in adults receiving knee
replacement (MPSMS)
2.6% in 2014 2.5% in 2017 0.1 0.996
Venous … Thromboembolism
Adult surgery patients with postoperative venous
thromboembolic events (MPSMS)
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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digital.ahrq.gov/sites/default/files/docs/page/2017-ahrq-hit-annual-report.pdf
January 01, 2017 - Thromboembolism (#R01 HS022086)
Funds
research aimed at elucidating the nature of
cognition … thromboembolism (VTE). … healthcare system,
researchers are identifying the cognitive
and team work involved in VTE … healthit.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism … Thromboembolism PA-11-198
Cohen, Deborah Jill Clinical Information Needs of Community Health Centers
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - measured in terms
of use of appropriate peri-
operative antibiotic
prophylaxis, beta-blockade,
and venous … thromboembolism
prophylaxis.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - This architecture is expected to be extended to address other common
conditions in the PICU, such venous … thromboembolism, acute respiratory distress syndrome, traumatic brain
injury, ventilator management
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nnkwqkX-Nk6v3gsphVATUD
September 01, 2002 - Screening for Osteoporosis in Postmenopausal Women - Recommendations and Rationale
Summary of
Recommendations
• The U.S. Preventive Services Task Force
(USPSTF) recommends that women aged 65 and
older be screened routinely for osteoporosis. The
USPSTF recommends that routine screening
begin at age 60 for women at i…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-2002
September 17, 2002 - Share to Facebook
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Final Recommendation Statement
Osteoporosis: Screening, 2002
September 17, 2002
Recommendations made by the USPSTF are independent of the U.S. government. They sho…